Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT05721170

Impact of Beta Blockers on TAVI (BETA-TAVI)

Led by National and Kapodistrian University of Athens · Updated on 2024-12-09

347

Participants Needed

2

Research Sites

191 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a prospective, multicentre, investigator-initiated, randomized clinical trial clinical trial investigating the impact of beta-blockers administration among patients undergoing TAVI for severe aortic valve stenosis. Adults already receiving beta-blockers be assigned randomly in 1:1 ratio to either continue or withdraw the beta-blockers medication at least 72 hours before and at least 7 days after TAVI. The primary endpoint is permanent pacemaker implantation rates in 7 days after the procedure. Secondary endpoints include death, cardiogenic shock and arrhythmias/conduction abmormalities with time frame 12 months.

CONDITIONS

Official Title

Impact of Beta Blockers on TAVI (BETA-TAVI)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 18 years old or older
  • Severe symptomatic aortic stenosis defined by mean aortic gradient > 40 mmHg or peak jet velocity > 4.0 m/s or aortic valve area < 1 cm2 or indexed aortic valve area to body surface area < 0.6 cm2/m2
  • High risk for mortality with conventional surgical aortic valve replacement as assessed by a Heart Team
  • Anatomic suitability for TAVI based on local Heart Team decision
  • Currently receiving beta-blockers as part of treatment
  • Understands the trial purpose, risks, and benefits and willing to participate in follow-up
  • Provided written consent to participate
Not Eligible

You will not qualify if you...

  • Known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, clopidogrel, titanium, nickel, cobalt, chromium, or contrast media
  • Presence of a permanent pacemaker or defibrillator
  • Ongoing infection including active endocarditis
  • Echocardiographic evidence of left ventricular or left atrial thrombus
  • Contraindication for antithrombotic treatment
  • Estimated life expectancy less than 12 months
  • Pregnancy or pre-perimenopause
  • Second or third degree atrioventricular block
  • Bradycardia (heart rate less than 50 beats per minute) at screening
  • Co-morbidity that excludes or significantly interferes with follow-up visits
  • Enrolled in another study that interferes with this trial

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Nicosia General Hospital

Nicosia, Cyprus

Actively Recruiting

2

First Department of Cardiology, National and Kapodistrian University of Athens

Athens, Attica, Greece, 11527

Actively Recruiting

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Research Team

L

Leonidas Koliastasis, MD, MSc, PhD

CONTACT

O

Odysseas Katsaros, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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